Jackson, Benjamin

Jackson, Benjamin is an individual health care provider with primary practice located at 709 Green Valley Rd , Greensboro NC 27408-7019. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Jackson, Benjamin can be contacted via phone (336) 890-2530.

Contact Information

Primary practice address
709 Green Valley Rd Greensboro NC 27408-7019
Phone: (336) 890-2530
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2021-01092 North Carolina

Profile Details

NPI number 1639675044
LBN Legal business name Jackson, Benjamin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2018
Last updated Jul 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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